Provider Demographics
NPI:1760677033
Name:KEBROS & ASSOCIATES, LLC
Entity Type:Organization
Organization Name:KEBROS & ASSOCIATES, LLC
Other - Org Name:SMARTCARE HOME HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ABIMBOLA
Authorized Official - Middle Name:OYINKANSOLA
Authorized Official - Last Name:EBODA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-419-5343
Mailing Address - Street 1:13975 CONNECTICUT AVE STE 206
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-2921
Mailing Address - Country:US
Mailing Address - Phone:800-419-5343
Mailing Address - Fax:240-455-4313
Practice Address - Street 1:13975 CONNECTICUT AVE STE 206
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906-2921
Practice Address - Country:US
Practice Address - Phone:800-419-5343
Practice Address - Fax:240-455-4313
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KEBROS & ASSOCIATES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-09-10
Last Update Date:2013-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health